158 Payer Jobs in Atlanta, GA - page 2
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Medical Director Orthopedic Surgery - remote UnitedHealth Group - Atlanta, GA, United States and accreditation requirements. Supports compliance with regulatory agency standards and requirements (e.g., CMS, NCQA, URAC, state / federal and third-party payers) Works with clinical staff to coordinate 2 days ago
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Hospice Community Liaison Suncrest Hospice - Atlanta, Georgia and maintain positive working relationships with current and potential referral and payer sources Build and monitor community, customer, payer, and patient perceptions of the organization Assist in strategic 5 days ago
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Neurosurgery Coder LaSalle Network - Atlanta, GA, United States guidelines and payer requirements Work closely with neurosurgeons, clinical staff and billing teams to clarify documentation and resolve coding-related issues Stay informed about updates and changes to coding 10 days ago
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Senior Consultant - Healthcare Infosys Consulting - Atlanta, GA, United States locations. BASIC QUALIFICATIONS Demonstrates proven success in consulting and project-based roles and thorough abilities in one or more of the following areas: Strong understanding of the health payer market 5 days ago
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Scheduler Northside Hospital Inc. - Atlanta, Georgia of a computerized scheduling system 3. Associate Degree 4. Prior experience in insurance precertification 5. Experience interfacing with physician offices, other organization departments, and third party payers. 6 4 days ago
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Sr. Business Analyst (Pharmacy Benefits Management) Apex Systems - Atlanta, GA, United States experience, Medicare/Medicaid, Health Payer Systems 10 days ago
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Epic Sr PB Claims Analyst Planet Technology - Atlanta, GA, United States including remittance, rules, insurance payer/plan records, claim edits, and claim forms. - Familiarity with SBO certification and PB Resolute build is preferred, especially in charge router and workbench 26 days ago
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PROGRAM EVALUATION SPECIALIST SENIOR Grade 22 FULTON COUNTY ATLANTA, GA , review quarterly and monthly spend plans submitted by each sub-recipient, review documents such as Program Income (collections, 3rd party payers), and Client Satisfaction Survey Results, performs $77,491.00 - $138,128.00 Annually Yesterday
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Addiction Counselor - Remote Addiction Recovery Care - Atlanta, GA, United States necessity of services, utilizing the American Society of Addiction Medicine (ASAM) guidelines for care Complete appeals process with third-party payers as needed. Communicate clearly and accurately to various 28 days ago
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Medical Director Pop Health & Primary Care Grady Health - Atlanta, Georgia, USA specified by their specialty/certification. Working knowledge of quality measurement systems (e.g. HEDIS) and industry trends in policy and payer alternative payment programs (e.g. CMMI, ACOs) Required 2 days ago
Top locations
- Gainesville, GA (18)
- Rome, GA (11)
- Lawrenceville, GA (11)
- Duluth, GA (5)
- Canton, GA (4)
- Marietta, GA (4)
- Decatur, GA (4)
- Alpharetta, GA (4)
- See more